Doctor Name: | KATHERINE GOYETTE |
NPI Number: | 1225446230 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 101.0105631 |
Business Practice Address: | 331 Olcott Dr Suite U3 White River Junction, VT - 050019601 |
Business Phone Number: | 8022956132 |
Business Fax Number: | 8022951358 |
Mailing Address: | 331 Olcott Dr, Suite U3 WHITE RIVER JUNCTION |
State: | VT |
Postal Code: | 050019601 |
Phone Number: | 8022956132 |
Fax Number: | 8022951358 |
NPI Enumeration Date: | 07/23/2014 |
NPI Last Update Date: | 07/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 101.0105631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |